You have accessJournal of UrologyInfertility, Sexual Dysfunction, Trauma & Teaching Technique1 Apr 2012V1556 ROBOT ASSISTED BILATERAL VASOEPIDIDYMOSTOMY EVOLUTION OF ROBOTIC MICROSURGICAL TECHNIQUES FOR COMPLEX RECONSTRUCTION OF MALE GENITAL TRACT Ahmet Gokce, Julie Wang, Mathew Oommen, Sijo Parekattil, and Wayne Hellstrom Ahmet GokceAhmet Gokce New Orleans, LA More articles by this author , Julie WangJulie Wang New Orleans, LA More articles by this author , Mathew OommenMathew Oommen New Orleans, LA More articles by this author , Sijo ParekattilSijo Parekattil Winter Haven, FL More articles by this author , and Wayne HellstromWayne Hellstrom New Orleans, LA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1327AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urologists perform close to one million vasectomies each year in the United States. Up to 6% of men request reversal after vasectomy. Robotic assistance is one such technique of vasectomy reversal that allows for high-definition three-dimensional viewing as well as scaling settings to allow for more precise movements by the surgeon. Numerous studies suggest that robot-assisted reversal may have advantages over a microsurgical approach in terms of ease of performing the procedure, precision of suture placement, and possible improved patency rates. In this video, we present our technique of a robotic-assisted microsurgical vasoepididymostomy using an enhanced four-arm DaVinci type S robotic system. METHODS A video presentation of a single-institution, single-surgeon robotic-assisted microsurgical vasoepididymostomy. During intraoperative examination, the vasal fluid bilaterally was noted to be sparse and pasty in consistency. This fluid was aspirated and microscopic examination revealed absence of sperm. Based on these findings, the decision was made to proceed with a vasoepididymostomy. A two-layer 10-0 and 9-0 suture anastomosis was performed. RESULTS There were no major perioperative and postoperative complications. Narcotic analgesic drugs were not needed during the postoperative period for this outpatient procedure. CONCLUSIONS Robotic-assisted microsurgical vasoepididymostomy may have potential benefits over standard microsurgical techniques. Further evaluation and follow-up are needed in order to further assess the clinical potential and cost-benefit ratio of this technique. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e631 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmet Gokce New Orleans, LA More articles by this author Julie Wang New Orleans, LA More articles by this author Mathew Oommen New Orleans, LA More articles by this author Sijo Parekattil Winter Haven, FL More articles by this author Wayne Hellstrom New Orleans, LA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...